EXL

Senior Manager, Payment Integrity

EXL

full-time

Posted on:

Location Type: Hybrid

Location: Hartford • Connecticut • United States

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Salary

💰 $85,000 - $110,000 per year

Job Level

Senior

About the role

  • Responsible for preparing and executing Medicaid CXT/Cotiviti editing test scripts
  • Ensure comprehensive validation of coding and clinical edits
  • Document discrepancies and analyze claim‑processing functionality
  • Conduct thorough pre‑ and post‑implementation testing to ensure edit quality and accuracy
  • Strong analytical ability to understand edit logic and process all claim types

Requirements

  • Bachelor’s/Master’s degree in Computer Science / IT / Engineering or equivalent experience
  • 7 plus years of experience in payment integrity claims processing
  • High integrity, sound judgment, and independence of thought
Benefits
  • For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Medicaid CXTCotivititest scriptscoding editsclinical editsclaim-processing functionalitypre-implementation testingpost-implementation testingedit qualityedit logic
Soft Skills
analytical abilityhigh integritysound judgmentindependence of thought
Certifications
Bachelor’s degreeMaster’s degree